The Effect of dry Needling in Chronic Stroke with a complex Network Approach: A Case Study.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical EEG and Neuroscience Pub Date : 2023-03-01 DOI:10.1177/15500594221120136

Borhan Asadi, Kheirollah Rahsepar Fard, Noureddin Nakhostin Ansari, Álvaro Marco, Sandra Calvo, Pablo Herrero

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引用次数: 4

Abstract

Background: Dry Needling (DN) has been demonstrated to be effective in improving sensorimotor function and spasticity in patients with chronic stroke. Electroencephalogram (EEG) has been used to analyze if DN has effects on the central nervous system of patients with stroke. There are no studies on how DN works in patients with chronic stroke based on EEG analysis using complex networks. Objective: The aim of this study was to assess how DN works when it is applied in a patient with stroke, using the graph theory. Methods: One session of DN was applied to the spastic brachialis muscle of a 62-year-old man with right hemiplegia after stroke. EEG was used to analyze the effects of DN following metrics that measure the topological configuration: 1) network density, 2) clustering coefficient, 3) average shortest path length, 4) betweenness centrality, and 5) small-worldness. Measurements were taken before and during DN. Results: An improvement of the brain activity was observed in this patient with stroke after the application of DN, which led to variations of local parameters of the brain network in the delta, theta and alpha bands, and inclined towards those of the healthy control bands. Conclusions: This case study showed the positive effects of DN on brain network of a patient with chronic stroke.

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干针治疗慢性脑卒中的复杂网络效应:个案研究。

背景:干针(DN)已被证明对改善慢性脑卒中患者的感觉运动功能和痉挛是有效的。脑电图(EEG)已被用于分析DN是否对脑卒中患者的中枢神经系统有影响。目前还没有基于复杂网络的脑电图分析来研究DN在慢性脑卒中患者中的作用。目的:本研究的目的是评估如何工作时，DN应用于中风患者，使用图论。方法:对62岁右偏瘫脑卒中后痉挛性肱肌进行一期DN治疗。采用EEG分析DN对拓扑结构的影响:1)网络密度，2)聚类系数，3)平均最短路径长度，4)中间性中心性，5)小世界性。在DN之前和DN期间进行测量。结果:该脑卒中患者应用DN后脑活动有所改善，导致delta、theta和alpha波段脑网络局部参数发生变化，向健康对照带倾斜。结论:本病例研究显示DN对慢性脑卒中患者脑网络的积极作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical EEG and Neuroscience 医学-临床神经学

CiteScore

5.20

自引率

5.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical EEG and Neuroscience conveys clinically relevant research and development in electroencephalography and neuroscience. Original articles on any aspect of clinical neurophysiology or related work in allied fields are invited for publication.